Affidavit Of Domicile

AFFIDAVIT OF DOMICILE STATE OF COUNTY OF I, do depose and attest that I reside at in the county of and that I have resided there for I am the named / / Executor , having been duly sworn, , in the state of days. Representative . Heir for the deceased, , who died on At the time of death, the deceased was residing at the following address: in the county of in the state of The deceased resided at the aforementioned address for prior to death, and was not a resident of any other state during that time. , . years This affidavit is made for the purpose of securing the transfer or delivery of property or securities registered to or owned by the deceased at the time of death to a purchaser or persons legally entitled thereto under the laws of the deceased's domicile. AFFIANT Subscribed and sworn to before me this County. My commission expires day of (Notary Public), 20 20 American LegalNet, Inc. www.FormsWorkFlow.com